Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD DAVID JACOBSON, MD, PHD
ActiveNeurology with Special Qualifications in Child Neurology · CHARLOTTE, NC
Registration Details
- NPI Number
- 1013968858
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2006 (19.938248414067 yrs)
- Last Updated
- Oct 6, 2020
- Licenses
-
31216 (WI)ME127847 (FL)ME127847 (FL)01389 (NC)
Practice Information
- Address
-
4228 BROOKFIELD DRCHARLOTTE, NC, 28210Browse NC providers · Browse ZIP 28210
- Phone
- 6153455400
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
Other Neurology with Special Qualifications in Child Neurology Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| DANIEL JOSEPH BONTHIUS | MD | 1962497321 |
| USHA DAYAL | MD | 1932163516 |
| TERESITA YAP NELSON | MD | 1699739136 |
| DR. LIYA BEYDERMAN | MD | 1699816017 |
| DR. SHANA DALE WALLACE | MD | 1013040666 |
| CYNTHIA FRANCIS PUDUKADAN | MD | 1487897310 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.